摘要
目的：报道女性膀胱颈器质性梗阻的诊治体会。方法：总结女性膀胱颈器质性梗阻病例84例，均行经尿道膀胱颈电切术（TURBN），并联合al-受体拮抗剂治疗。结果：84例随访3-30个月，排尿症状均有不同程度改善，Qmax〉15ml／s，IPSS评分为5．4±1．8（术前25．8±4．4），生活质量评分为1．5±0．6（术前4．2±0．8）。病理检查显示84例有不同程度纤维组织增生，其中78例有慢性炎性改变。结论：根据临床症状、压力一流率测定和膀胱镜检诊断女性膀胱颈器质性梗阻简便有效，TURBN联合a1-受体拮抗剂有良好的治疗效果。
Objective： To present experience on the diagnosis and treatment for anatomy obstruction of female bladder neck.Methods： 84 cases of anatomy obstruction of female bladder neck were studied. All the patents were treated by transurethral partial incision of the cervixvesicae combined with alphal - adrenocept.Results： The patients have been followed up for 3 to 30 months. Urination has been improved in all.On repeated uroflowmetry, the 84 patients showed that the urine flow rates have been more than 15ml/s. IPSS scores was 5.4 ± 1.8 （25.8 ± 4.4 preoperative） and quality of life scores was 1.5 ± 0.6 （4.2 ±0.8 preoperative） . Fibroblast proliferation was noted in all and obvious chronic inflammation was in 78 cases.Conclusions： clinical symptoms, pressure-rate measurement and cystoscopy are reliable diagnostic methods.Transurehral partial incision of cervix vesicae combined with alphal - adrenoceptor antagonists is effective.
出处
《现代预防医学》
CAS
北大核心
2006年第9期1710-1711,共2页
Modern Preventive Medicine
关键词
女性
膀胱颈器质性梗阻
诊断
治疗
Female
Anatomy obstruction of bladder neck
Dagnosis
Treatment
